NPI | 1154948180 |
---|---|
Entity Type | Organization |
Authorized Contact | GREGORY COUTO SVP Operations 954-650-2802 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X |
Additional Taxonomies | 251S00000X Community/Behavioral Health |
Enumeration Date | 2020-06-25 |
Last Update Date | 2024-01-11 |